Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.60 / $1,311.45 / $2,747.00	Facility		$302.60	$1,311.45	$2,747.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.27 / $21.27 / $54.21	Facility	53	$21.27	$21.27	$54.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $238.18 / $627.57	Professional		$97.22	$238.18	$627.57
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $160.26 / $1,177.70 / $3,472.00	Facility		$160.26	$1,177.70	$3,472.00
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $97.94 / $97.94 / $97.94	Facility	53	$97.94	$97.94	$97.94
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $362.46 / $953.50	Professional		$109.64	$362.46	$953.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.41 / $147.02 / $292.32	Facility		$114.41	$147.02	$292.32
BCBS Facility/Professional Facility Modifier 53 Low / Median / High Price $28.60 / $36.75 / $72.93	Facility	53	$28.60	$36.75	$72.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.25 / $397.88 / $693.80	Professional		$155.25	$397.88	$693.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $270.45 / $641.50	Professional		$134.13	$270.45	$641.50
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $99.87 / $300.00 / $6,679.00	Facility		$99.87	$300.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $295.87 / $360.98 / $501.12	Professional		$295.87	$360.98	$501.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $133.82 / $312.52 / $750.99	Professional		$133.82	$312.52	$750.99
Health New England Facility/Professional Facility Modifier Low / Median / High Price $884.64 / $1,234.84 / $4,320.31	Facility		$884.64	$1,234.84	$4,320.31
Health New England Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $237.69 / $331.00	Professional		$159.00	$237.69	$331.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,600.00 / $7,161.00	Facility		$55.00	$1,600.00	$7,161.00
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $97.94 / $97.94 / $97.94	Facility	53	$97.94	$97.94	$97.94
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $282.07 / $498.38 / $1,837.52	Professional		$282.07	$498.38	$1,837.52
Tufts Facility/Professional Facility Modifier Low / Median / High Price $307.62 / $937.55 / $1,808.94	Facility		$307.62	$937.55	$1,808.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,408.00 / $5,683.00	Facility		$1,106.00	$2,408.00	$5,683.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.24 / $412.86 / $789.97	Professional		$276.24	$412.86	$789.97